Langley Haven Care Home

Updated 18 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014

Inspection team

The inspection team consisted of one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Langley Haven Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection

During the inspection

We observed how staff interacted with people. We spoke with 11 people one relatives, two students, one regular visitor from the local community and two healthcare professionals to gather their views. We looked at records, which included seven people's care and medicines records. We checked recruitment records for five staff. We looked at a range of records about how the service was managed. We also spoke with the registered manager, and seven staff members.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 18 April 2020

About the service

Langley Manor is a care home. It is registered to provide personal care and accommodation for up to 35 people across two floors. At the time of our inspection 34 people were living at the service.

People's experience of using this service and what we found

Risks to people were not always managed safely. Peoples dignity was not always protected because of a lack of privacy when receiving care from external healthcare professionals within the service.

There were effective systems in place to monitor the quality of service, however there was a lack of oversight and governance by the registered manager, relating to the concerns we identified in relation to safety and dignity and privacy.

The premises were clean, and staff followed infection control and prevention procedures. Although one part of the home was malodourous, the registered manager was able to demonstrate how this had been identified and what actions were being taken to address this.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People living at Langley Haven told us they received care from skilled and knowledgeable staff. Staff knew how to identify and report any concerns. People received their medicines as prescribed.

There were sufficient staff deployed to meet people's needs and the provider had safe recruitment and selection processes in place. People’s nutritional needs were assessed, and people were encouraged to maintain good diet and access health services when required.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 26 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.